Mary H Rose is a Clinical in Fort Wayne, Indiana. Mary H Rose practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary H Rose is 1891856399. The last update date is 2022-04-02.
Mary H Rose's current location address is 2200 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604240411 and fax number 2604243530. The mailing address for Mary H Rose is 2200 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary H Rose |
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Address | 2200 Lake Ave, Fort Wayne, Indiana |
Phone Number | 2604240411 |
Fax Number | 2604243530 |
Sole Proprietor | N |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1891856399 |
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Provider Enumeration Date | 2006-12-12 |
Last Updated Date | 2022-04-02 |
Provider Mailing Address Detail
Address | 2200 Lake Ave |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468055397 |
Phone Number | 2604240411 |
Fax Number | 2604243530 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 34004314A |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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324983 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary H Rose by the Centers for Medicare & Medicaid Services?
The Mary H Rose has been issued the NPI (National Provider Identifier) 1891856399 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary H Rose is geographically located?
The Mary H Rose is physically situated at the following location: 2200 Lake Ave, Fort Wayne, IN, 468055397.
What is the Mary H Rose's area of specialization and corresponding taxonomy classification?
The Mary H Rose's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Mary H Rose receive the assignment of its 1891856399 from the Centers for Medicare & Medicaid Services?
The Mary H Rose was issued its 1891856399 by the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information regarding Mary H Rose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary H Rose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-02.
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